Ivania Haslam Rosado, is a medicare enrolled "Social Worker - Clinical" provider in Stockton, California. Her current practice location is
1212 N California St, Conrep, Stockton, California. You can reach out to her office (for appointments etc.) via phone at
(209) 953-7691.
Ivania Haslam Rosado is licensed to practice in California (license number 28590) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053535971.
Healthcare Provider's Profile
Full Name | Ivania Haslam Rosado |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1212 N California St, Stockton, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053535971
- Provider Enumeration Date: 04/12/2007
- Last Update Date: 01/26/2011
Medicare PECOS Information:
- PECOS PAC ID: 2062869910
- Enrollment ID: I20231114002585
Medical Identifiers
Medical identifiers for Ivania Haslam Rosado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053535971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 28590 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ivania Haslam Rosado allows following entities to bill medicare on her behalf.
Entity Name | Juliet Acolatse |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801445929 PECOS PAC ID: 3577992254 Enrollment ID: O20200331003397 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivania Haslam Rosado is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ivania Haslam Rosado, 1212 N California St, Conrep, Stockton, CA 95202-1552 Ph: (209) 953-7691 | Ivania Haslam Rosado, 1212 N California St, Conrep, Stockton, CA 95202-1552 Ph: (209) 953-7691 |
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